Active NPI
Sean E McCoy Sr., LMT
- Massage Therapist
- Gilbert, AZ
National Provider Identifier
1912327628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT-17802
- Practice address
- 1166 E Warner Rd
Suite 101
Gilbert, AZ 85296-3064 - Phone
- (480) 220-6407
- NPI assigned
- Apr 21, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT-17802 | AZ | Primary |
Addresses
Primary practice location
1166 E Warner Rd
Suite 101
Gilbert, AZ 85296-3064
Mailing address
13327 E Chicago St
Chandler, AZ 85225-6115
Phone (480) 220-6407
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT-17802 | AZ | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398038400000",
"number": "1912327628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13327 E CHICAGO ST",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852256115",
"telephone_number": "480-220-6407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1166 E WARNER RD",
"address_2": "SUITE 101",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852963064",
"telephone_number": "480-220-6407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOY",
"first_name": "SEAN",
"middle_name": "E",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-21",
"last_updated": "2014-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AZ",
"license": "MT-17802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.